Minimally invasive retrieval of patent foramen ovale closure device after device migration to the descending aorta

Tex Heart Inst J. 2012;39(4):582-4.

Abstract

Percutaneous treatment of patent foramen ovale with a septal closure device has become a common procedure, but it is associated with various complications. Migration of the device is uncommon, and migration through the aortic valve into the aorta is rare. Managing the migration of a patent foramen ovale occluder can be challenging; it usually requires surgical retrieval of the foreign body. We report a rare case in which a patient experienced migration of a large patent foramen ovale closure device to the descending aorta. Rarer still was its successful percutaneous management.

Keywords: Device removal; foramen ovale, patent; foreign-body migration/therapy; heart catheterization/adverse effects; heart septal defects, atrial/complications/therapy; prosthesis failure; septal closure device.

Publication types

  • Case Reports

MeSH terms

  • Aorta, Thoracic* / diagnostic imaging
  • Aortography
  • Cardiac Catheterization / adverse effects*
  • Cardiac Catheterization / instrumentation*
  • Device Removal*
  • Endovascular Procedures*
  • Female
  • Foramen Ovale, Patent / diagnostic imaging
  • Foramen Ovale, Patent / therapy*
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / etiology
  • Foreign-Body Migration / therapy*
  • Humans
  • Middle Aged
  • Septal Occluder Device*
  • Treatment Outcome
  • Ultrasonography